Acadiana Health And Injury Centers, LLC
Nurse Practitioner, Family in Opelousas, LA. Organization (NPI-2).
NPI number1316410251
StatusActive
Last updated in NPPESJan 3, 2019
Details
- NPI
- 1316410251
- Entity type
- Organization (NPI-2)
- Legal business name
- Acadiana Health And Injury Centers, LLC
- Organization subpart
- No
- Enumeration date
- Jan 3, 2019
- Last updated
- Jan 3, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | – | – | Yes |
Practice location
507 N Market StOpelousas, LA 70570-5279
Phone 337-948-1212
Mailing address
1625 Lawrence StOpelousas, LA 70570-0221
Phone 904-537-7733
Other practice locations
4200 Forbes Blvd Ste 203
Lanham, MD 20706-4823
Lanham, MD 20706-4823
Phone 301-762-5300
Authorized official
Darin Lastrapes
Manager/Owner
9045377733
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